| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,619 |
13,605 |
$924K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,637 |
3,635 |
$308K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,567 |
3,567 |
$296K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,768 |
2,767 |
$247K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,908 |
11,818 |
$239K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,226 |
2,218 |
$189K |
| 99173 |
|
8,394 |
8,383 |
$167K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14,536 |
14,317 |
$149K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
14,426 |
14,382 |
$136K |
| 92583 |
|
2,598 |
2,592 |
$104K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,269 |
1,247 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
590 |
546 |
$53K |
| 92551 |
|
5,401 |
5,394 |
$50K |
| 90461 |
|
4,656 |
4,636 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,724 |
1,685 |
$21K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
144 |
144 |
$15K |
| 92567 |
|
585 |
545 |
$7K |
| 92587 |
|
375 |
373 |
$5K |
| 99381 |
|
53 |
53 |
$5K |
| 96127 |
|
564 |
563 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
128 |
112 |
$2K |
| 99442 |
|
41 |
41 |
$853.21 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
25 |
$442.50 |
| 99441 |
|
30 |
29 |
$323.10 |
| 86580 |
|
41 |
41 |
$261.58 |
| 90698 |
|
218 |
218 |
$0.00 |
| 90651 |
|
98 |
96 |
$0.00 |
| 90680 |
|
182 |
182 |
$0.00 |
| 90686 |
|
137 |
137 |
$0.00 |
| 90744 |
|
87 |
87 |
$0.00 |
| 90696 |
|
14 |
12 |
$0.00 |
| 90688 |
|
47 |
47 |
$0.00 |
| 90716 |
|
14 |
14 |
$0.00 |
| 90633 |
|
98 |
98 |
$0.00 |
| 90670 |
|
292 |
291 |
$0.00 |
| 90734 |
|
38 |
38 |
$0.00 |
| 90685 |
|
32 |
32 |
$0.00 |
| 90715 |
|
29 |
29 |
$0.00 |